| NPI | 1457004954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AZ 296082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 296082) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AZ 296082) | |
| 163WC0400X Registered Nurse, Case Management (Licence: AZ 296082) | |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2023-10-18 |