| NPI | 1952890576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 229226-30) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G184680) |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2025-08-11 |