| NPI | 1962691139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 90120) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0106621) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2026-08-06 |