| NPI | 1558022608 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11017056) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95028762) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 279490) | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2025-10-09 |