NPI | 1104631910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IA 145046) |
Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: IA 145046) |
Enumeration Date | 2025-02-10 |
Last Update Date | 2025-02-10 |