NPI | 1134595655 |
---|---|
Former Name | ERICA BARRAZA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95066989) |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |