| NPI | 1851076319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL APRN11027096) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11027096) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: FL APRN11027096) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: FL APRN11027096) | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2025-09-19 |