NPI | 1295012888 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 292676) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2011-11-09 |
Last Update Date | 2017-05-01 |