| NPI | 1922352905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP3117302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL APRN3117302) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP3117302) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: FL ARNP3117302) | |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2023-03-13 |