| NPI | 1578837399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: LA RN032942) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN032942) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN032942) | |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |