| NPI | 1578695532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: OR 201040065RN) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 372600000X Adult Companion | |
| 101YM0800X Counselor Mental Health (Licence: OR 201040065RN) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2014-07-08 |