| NPI | 1992182414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL APRN11020548) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2331123) |
| 101YM0800X Counselor, Mental Health (Licence: MA 10241) | |
| 101YM0800X Counselor, Mental Health (Licence: FL 20428) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9588600) | |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2024-06-05 |