| NPI | 1053032599 |
|---|---|
| Former Name | JAMIE MARIE MATHIAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95039549) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |