| NPI | 1699350819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NC 317881) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 163WC0400X Registered Nurse Case Management (Licence: NC 317881) | |
| 163WH0200X Registered Nurse Home Health (Licence: NC 317881) | |
| 163WM0705X Registered Nurse Medical-Surgical (Licence: NC 317881) | |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-04-28 |