| NPI | 1447799556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: LA RN128702) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163W00000X Registered Nurse (Licence: TX 912637) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2023-06-08 |