| NPI | 1730016551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 42619) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: TN 238980) |
| Enumeration Date | 2026-05-06 |
| Last Update Date | 2026-08-05 |