NPI | 1073918108 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201402660RN) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-10-31 |
Last Update Date | 2016-04-13 |