| NPI | 1922832955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12.014703) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CT 098121) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2025-08-27 |