| NPI | 1780828061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R121391) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC RN61601) | |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2024-09-03 |