| NPI | 1619265006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11011837) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2021-04-22 |