| NPI | 1649889932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3014805) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404041) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0030321) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11938-33) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61288327) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2022-12-08 |