NPI | 1043630965 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704277986) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MI 4704277986) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2020-05-19 |