| 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 |