NPI | 1912552027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 2083141) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 2019044689) |
Enumeration Date | 2019-08-06 |
Last Update Date | 2019-12-16 |