| NPI | 1821522343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189748) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006866) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2024-03-26 |