| NPI | 1790980746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 078416-23) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MA 114969) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-11-27 |