| NPI | 1902555154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: VA 0001287908) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001287908) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: VA 0001287908) | |
| 171M00000X Case Manager/Care Coordinator | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: VA 0001287908) | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |