| NPI | 1992776470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL rn628292) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL mh6696) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2025-09-11 |