| NPI | 1851467914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL 1877622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL arnp1877622) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-08-15 |