NPI | 1033263470 |
---|---|
Former Name | SUSAN JEAN BULENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 145988) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2009-03-03 |