| NPI | 1730501818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 086006-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 086006-23) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2025-12-01 |