NPI | 1578326252 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN11030997) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11030997) |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-06-25 |