| NPI | 1699314971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5012717) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 178286) |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-08-31 |