| NPI | 1730265356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 70000195A) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MO 2005027616) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA RN221074) | |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2019-10-23 |