NPI | 1043628274 |
---|---|
Former Name | ARIELLE ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201402612RN) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-07-31 |
Last Update Date | 2021-02-17 |