| NPI | 1831988930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5022096) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 5022096) |
| 101Y00000X Counselor (Licence: NC 5022096) | |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-12 |