| NPI | 1841329166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020020502) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 3176) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2022-06-02 |