| NPI | 1972396430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: OR 10041531) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 25-QMP-R-3611) |
| 163W00000X Registered Nurse (Licence: OR 10041531) | |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-07-02 |