| NPI | 1639524382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 269404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 671633) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-11-02 |