| NPI | 1811410921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 32506) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1408-4117C) |
| 1041C0700X Social Worker, Clinical (Licence: TN 6406) | |
| 163W00000X Registered Nurse (Licence: TN 257395) | |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2025-02-07 |