| NPI | 1780219329 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.026415)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 276871)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 73675)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH 026415)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209026192)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G171402)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R53267)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 12980821-3102)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 114793)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016308)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403151-01)  | |
| Enumeration Date | 2020-03-04 | 
| Last Update Date | 2023-01-06 |