| NPI | 1811364961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021481) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 230320) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27247) | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2025-01-29 |