| NPI | 1891061545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11038673) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 35191) |
| 103T00000X Psychologist (Licence: FL PY9652) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2026-01-18 |