| NPI | 1194827501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: IN 28085339A) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IN 70000095A) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |