| NPI | 1982014528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10020951) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 225600) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 2021100268) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5016784) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2024-11-21 |