| NPI | 1477149847 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AR 125196)  | 
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AR 125196)  | 
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR 125196)  | |
| Enumeration Date | 2020-12-18 | 
| Last Update Date | 2020-12-18 |