| NPI | 1619840774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP035127) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC008856) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA RN750006) | |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2026-07-20 |