| NPI | 1932797917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020770) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 292814) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2024-09-20 |