| NPI | 1235223413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: TN 93151) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TN 93151) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN 93151) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |