| NPI | 1851360671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10468) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0008136) |
| 163W00000X Registered Nurse (Licence: MN 2456948) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MN 2456948) | |
| 364S00000X Clinical Nurse Specialist (Licence: MN 542) | |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2023-07-18 |