| NPI | 1760504005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024167081) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CO 186308) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 186308) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-10-23 |