| NPI | 1629509369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60807286) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 0000174544) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APRN22633) | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-12-12 |