| NPI | 1992564736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KY 4008933) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: KY 4008933) |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: KY 4008933) | |
| 251S00000X Community/Behavioral Health (Licence: KY 4008933) | |
| 252Y00000X Early Intervention Provider Agency | |
| 364SP0812X Clinical Nurse Specialist Psychiatric/Mental Health, Community (Licence: KY 4008933) | |
| 373H00000X Day Training/Habilitation Specialist (Licence: KY 4008933) | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child (Licence: KY 4008933) | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities (Licence: KY 4008933) | |
| 163WC1500X Registered Nurse Community Health (Licence: KY 4008933) | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: KY 4008933) | |
| Enumeration Date | 2024-03-14 |
| Last Update Date | 2024-11-15 |