| NPI | 1639652829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN171251) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-84213-062) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11037013) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 14205407-4405) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61651272) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2025-12-09 |