| NPI | 1578945069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024186195) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 284305) |
| 163W00000X Registered Nurse (Licence: NC 268358) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016980) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2025-08-26 |