| NPI | 1922067131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 03975) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 442) |
| 106H00000X Marriage & Family Therapist (Licence: LA 140) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 039605) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-02-17 |