| NPI | 1306672514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: VA 0001236362) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0732011129) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001236362) | |
| 251J00000X Nursing Care (Licence: VA 0001236362) | |
| Enumeration Date | 2024-09-12 |
| Last Update Date | 2024-09-12 |