| NPI | 1831908581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704344088) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP031466) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5021872) | |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2026-08-19 |