| NPI | 1669657987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20812) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD 90812) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NH 03855223) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 038552-23) | |
| Enumeration Date | 2008-01-05 |
| Last Update Date | 2022-06-08 |