| NPI | 1578716387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP11793) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2018-09-24 |