| NPI | 1891036604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R183067) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1021770) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2025-04-30 |