| NPI | 1588170641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: GA LPN) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL 9583541) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: FL 9583541) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL 9583541) | |
| 164W00000X Licensed Practical Nurse (Licence: GA LPN085393) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: FL 9583541) | |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2023-06-26 |