| NPI | 1023666096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704305934) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: MI 1645682) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |