| NPI | 1750192613 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL RN9174544)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9174544)  | 
| Enumeration Date | 2025-01-18 | 
| Last Update Date | 2025-02-24 |