| NPI | 1952426553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 67152) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-05137) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2022-06-16 |