| NPI | 1942623012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN119363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN119363) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: GA RN119363) | |
| 251J00000X Nursing Care (Licence: GA RN119363) | |
| 251S00000X Community/Behavioral Health (Licence: GA RN119363) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2014-01-27 |