| NPI | 1881046605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11049953) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: FL PN5233302) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9589661) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2026-09-25 |