| NPI | 1629306139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024168559) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001190712) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0015000882) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2022-04-20 |