| NPI | 1750831913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NE 93904) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 73344) | |
| 104100000X Social Worker (Licence: CA 73344) | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2023-01-14 |