| NPI | 1851969687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0138842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0143539) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2026-03-06 |