| NPI | 1831881903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 11605383-4405) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2025-08-23 |