| NPI | 1558831982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024193814) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50081974) |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2025-06-18 |