| NPI | 1912611203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH4731) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: FL RN9615792) |
| 163WG0000X Registered Nurse, General Practice (Licence: FL RN9615792) | |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |