| NPI | 1588817621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: SC R66757) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA RN078036) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2014-10-01 |