| NPI | 1689882763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN35263) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: DC 35263) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: DC 35263) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC 35263) | |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2018-11-26 |