| NPI | 1760690010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5024703) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 29392) |
| 373H00000X Day Training/Habilitation Specialist | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 219568) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2026-07-22 |