| NPI | 1861793721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 218167) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403320-) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 25054) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95017118) | |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2024-10-31 |