| NPI | 1972685022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7658) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9287098) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-05-13 |