| NPI | 1831244334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 24738) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: SC 4910) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2022-08-10 |