| NPI | 1871550491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5009986) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009986) |
| 101YM0800X Counselor, Mental Health (Licence: NC S4461) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 500986) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024175505) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-01-11 |