| NPI | 1801530332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: GA rn285743) |
| 163WC1500X Registered Nurse, Community Health (Licence: GA rn285743) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: GA rn285743) | |
| 174200000X | |
| 251S00000X | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QR1300X Clinic/Center, Rural Health | |
| 385H00000X Respite Care | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-06-16 |