| NPI | 1356733414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: GA RN070252) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: GA RN070252) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |