| NPI | 1588801641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8866) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC-17363) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN215578) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95023711) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2024-02-23 |