NPI | 1174889216 |
---|---|
Former Name | MARIAN DIACHENKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 001653) |
Enumeration Date | 2012-04-03 |
Last Update Date | 2012-04-03 |