| NPI | 1780897785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A005251) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: AR R65492) |
| 251S00000X | |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2018-01-02 |