| NPI | 1922275155 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: SC 56503) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 56503) | 
| Enumeration Date | 2008-05-15 | 
| Last Update Date | 2008-05-15 |