| NPI | 1790679975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ID 2561071) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 293562) |
| Enumeration Date | 2025-06-04 |
| Last Update Date | 2026-05-28 |