| NPI | 1174893101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R229690) |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 171M00000X Case Manager/Care Coordinator | |
| 163WH0200X Registered Nurse, Home Health (Licence: DC RN1046368) | |
| 251S00000X Community/Behavioral Health | |
| 163W00000X Registered Nurse (Licence: DC RN1046368) | |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2025-11-20 |