| NPI | 1861037129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 15096) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50082590) |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2025-08-08 |