| NPI | 1578969739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 5926) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2025-08-05 |