| NPI | 1225847635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NC 76840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0734012512) |
| 164X00000X Licensed Vocational Nurse (Licence: NC 76840) | |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-01-01 |