| NPI | 1356164701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 0000171548) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN LSW0000004580) |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |