| NPI | 1679190813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1002473) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 270470) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL TPAN3339) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2316542) | |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2025-12-09 |