| NPI | 1992029052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 71012697A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3409) |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2023-02-07 |