| NPI | 1619228871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN9269172) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9269172) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9269172) | |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2024-06-28 |