| NPI | 1285697961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NM R14833) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 2441) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2025-09-11 |