| NPI | 1659842318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN9389917) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health (Licence: FL APRN9389917) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL APRN9389917) | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2022-02-22 |