| NPI | 1841806320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2025005819) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP11007315) |
| Enumeration Date | 2020-09-19 |
| Last Update Date | 2025-05-28 |