| NPI | 1801353511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 227802) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2020-10-24 |