| NPI | 1639842701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011353A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0137209TELE) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4016504) | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2025-12-08 |