NPI | 1962971325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator (Licence: LA RN153798) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: LA RN153798) |
Enumeration Date | 2018-11-15 |
Last Update Date | 2018-11-15 |