| NPI | 1891452306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN11015439) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11015439) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 11015439) | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-01-16 |