| NPI | 1790751642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP03832) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: LA AP03832) |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: LA AP03832) | |
| 283Q00000X Psychiatric Hospital (Licence: LA AP03832) | |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP03832) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-09-04 |