| NPI | 1699509257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 11767125-4405) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: UT 11767125-3102) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2025-11-20 |