NPI | 1114458304 |
---|---|
Former Name | KRISTEN RICHINA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95208772) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 687957) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2022-10-20 |