| NPI | 1598104572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704212488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801085254) |
| 163W00000X Registered Nurse (Licence: MI 4704212488) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704212488) | |
| Enumeration Date | 2013-06-22 |
| Last Update Date | 2023-12-07 |