| NPI | 1841761368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9319599) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral (Licence: FL 25008) | |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2026-08-14 |