| NPI | 1609369396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704312286) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704312286) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4701312286) | |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2023-02-13 |