| NPI | 1043653843 |
|---|---|
| Former Name | HEANG KIM LIV |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 824218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 824218) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 824218) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2021-02-10 |