| NPI | 1821684390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95015948) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 24186711) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405733) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1094683) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13953-33) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 33616) | |
| Enumeration Date | 2020-12-17 |
| Last Update Date | 2025-09-05 |