NPI | 1134761620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OK 28080) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OK 457) |
Enumeration Date | 2019-10-16 |
Last Update Date | 2019-10-16 |