| NPI | 1174160709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KY 1058284) |
| Additional Taxonomies | 374T00000X Religious Nonmedical Nursing Personnel |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |