| NPI | 1306410477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: UT 13838357-3102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN168921) |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2024-09-20 |