| NPI | 1770009565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 28984) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: SC 63137) |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2024-09-23 |