| NPI | 1962188789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD CRNP-PMH) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MD RN183978) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MD CRNP-PMH) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MD CRNP-PMH) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-06-26 |