| NPI | 1336561471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AR R095058) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AR RTP-013866) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: TN RN0000065843) | |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-12-08 |