NPI | 1023380128 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201142442RN) |
Additional Taxonomies | 101Y00000X Counselor |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201142442RN) | |
Enumeration Date | 2012-02-03 |
Last Update Date | 2016-02-24 |