| NPI | 1891623567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AR R095352) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR R095352) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO R095352) | |
| Enumeration Date | 2026-05-12 |
| Last Update Date | 2026-05-12 |