| NPI | 1154563419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: TX 230335) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: TX 230335) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |