NPI | 1962997031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 9361328) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9361328) | |
Enumeration Date | 2018-06-29 |
Last Update Date | 2022-02-16 |