| NPI | 1841742921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83926-082) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 9939) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2025-09-25 |