| NPI | 1861551400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3017881) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: KY 1099916) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2022-06-17 |