NPI | 1821743915 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 200387) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: TX 833969) |
Enumeration Date | 2022-02-16 |
Last Update Date | 2024-04-18 |