| NPI | 1659887354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AK 149646) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 149646) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2022-03-08 |