| NPI | 1669943932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001130852) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2025-04-15 |