| NPI | 1891126413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11047633) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH11958) |
| Enumeration Date | 2013-12-07 |
| Last Update Date | 2026-07-21 |