| NPI | 1871161398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 290655-3102) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: UT 290665-3102) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |