| NPI | 1467996058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN073179) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LA RN073179) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2018-07-31 |