NPI | 1275698623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 534174) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95007154) | |
Enumeration Date | 2006-12-26 |
Last Update Date | 2024-07-24 |