| NPI | 1831632348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 7983862-8900) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 7983862-3102) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2022-11-09 |