| NPI | 1285219592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001245718) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: VA 0001245718) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0001245718) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024182209) | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2022-12-15 |