| NPI | 1336025253 |
|---|---|
| Former Name | CARLY ELIZABETH FLAHERTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: PA R657581) |
| Enumeration Date | 2025-08-14 |
| Last Update Date | 2025-08-14 |