| NPI | 1699032953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030343) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: DE l1-0038167) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2025-01-13 |