| NPI | 1811364961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 230320) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2023-06-27 |