NPI | 1568405090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN1729752) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2006-06-13 |
Last Update Date | 2023-12-06 |