| NPI | 1699013573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11045344) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: FL RN9525425) |
| 164W00000X Licensed Practical Nurse (Licence: NY 311926) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2026-02-05 |