| NPI | 1932386745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP015466) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC004517) |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2016-06-08 |