| NPI | 1780722009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200970008CNS-PP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AK 662) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 200970008CNS-PP) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2014-08-04 |