| NPI | 1619044716 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD R070033)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 07345)  | 
| Enumeration Date | 2006-11-30 | 
| Last Update Date | 2025-09-11 |