| NPI | 1598842841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 024181998) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: VA 0015000356) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2022-09-29 |