NPI | 1154512408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 468989) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 468989) |
Enumeration Date | 2007-08-01 |
Last Update Date | 2019-07-12 |