| NPI | 1316782675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MD R217599) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R217599) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MD R217599) | |
| 163WA2000X Registered Nurse, Administrator (Licence: MD R217599) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R217599) | |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2025-07-30 |