| NPI | 1285266460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 052057) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 6867260) |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |