| NPI | 1831322460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL ARNP2631282) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL APRN2631282) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2022-03-03 |