| NPI | 1306275532 |
|---|---|
| Former Name | THEA SUZANNE BOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 841575) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |