| NPI | 1629965074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: UT 10591453-3102) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 10591453-8900) |
| Enumeration Date | 2025-06-19 |
| Last Update Date | 2026-06-06 |