| NPI | 1285687483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 81985-030) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 12563) |
| 1041C0700X Social Worker, Clinical (Licence: WI 6640-123) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-09-11 |