| NPI | 1891053211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP030413) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010913) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R199835) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2026-06-04 |