| NPI | 1821180449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 15300) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: SC 4487) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2025-09-11 |