| NPI | 1730529579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 216803) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-06-26 |