| NPI | 1801473129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-131130) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2023-07-24 |