| 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 |