| NPI | 1801440763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004531) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9510809) | |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-02-13 |