| NPI | 1871164509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11841) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CT 108555) |
| Enumeration Date | 2021-07-04 |
| Last Update Date | 2023-04-07 |