| NPI | 1831475433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 163W00000X Registered Nurse (Licence: NC 201972) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2023-07-31 |