| NPI | 1881235687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11013567) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363L00000X Nurse Practitioner (Licence: FL APRN11013567) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013567) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: FL APRN11013567) | |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2025-02-12 |