| NPI | 1144457565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: NC 2013-01459) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 157131) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2015-10-01 |