NPI | 1255030474 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 95272150) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: CA 95272150) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-02-27 |