| NPI | 1578937066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704196417) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: MI 4704196417) |
| 163WC1500X Registered Nurse, Community Health (Licence: MI 4704196417) | |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2015-11-20 |