| NPI | 1225046394 |
|---|---|
| Former Name | MARINA VICINI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MI 4704115134) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MI 4704115134) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-07-08 |