| NPI | 1770983231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71017266A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 645780) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401980-1) | |
| 163W00000X Registered Nurse (Licence: IN 28282147A) | |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2025-10-21 |