| NPI | 1568956381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 2266761) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: WI 111095) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2019-10-03 |