| NPI | 1013899210 |
|---|---|
| Former Name | MICAH DAWN GOAD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OK R0113337) |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |