NPI | 1013628338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95312417) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95312417) |
Enumeration Date | 2022-12-07 |
Last Update Date | 2023-06-19 |