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 |