| NPI | 1811506272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 256374) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA 256374) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2026-03-12 |