NPI | 1588236905 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R071688) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AR R071688) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AR R071688) | |
Enumeration Date | 2021-07-14 |
Last Update Date | 2021-07-14 |