| NPI | 1164452447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI APRN02085) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA RN203210L) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-08-28 |