| NPI | 1760675953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 1373) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 30177) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992259-NP) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OR 201811259NP-PP) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2020-08-04 |