| NPI | 1740669209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: DC RN1033347) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R210396) |
| 163W00000X Registered Nurse (Licence: DC RN1033347) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2023-10-30 |