| NPI | 1760221758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024192890) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 2471352) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61675405) | |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2025-05-27 |