NPI | 1568205508 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 237785) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA LA158517) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-10-25 |