| NPI | 1932241171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34948) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 6632) |
| 163W00000X Registered Nurse (Licence: TN 262592) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2023-11-17 |