| NPI | 1679688188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AL 1-031100) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AL 1-031100) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AL 1-031100) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AL 1-031100) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: AL 1-031100) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |