| NPI | 1619499191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 226813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R0136921) |
| Enumeration Date | 2017-07-17 |
| Last Update Date | 2026-01-07 |