| NPI | 1801266713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 863426) |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 863426) | |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2025-03-25 |