| NPI | 1568948339 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN254363) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX APRN-CMP1213980) | 
| Enumeration Date | 2018-07-16 | 
| Last Update Date | 2025-09-24 |