| NPI | 1609956283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001455) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SD LMFT1110) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SD R025116) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: SD CS004018) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-03-06 |