| NPI | 1679160949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377004236) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1021335) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61415791) | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2026-07-15 |