| NPI | 1164646865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 179069) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: MA 179069) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |