| NPI | 1710743117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA NP246053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN246053) |
| Enumeration Date | 2024-02-23 |
| Last Update Date | 2025-11-08 |