NPI | 1700087657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12443) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CT 000937) |
Enumeration Date | 2007-05-29 |
Last Update Date | 2024-01-22 |