NPI | 1104292655 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95067188) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95067188) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2017-04-05 |