NPI | 1336913839 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95298668) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95298668) |
Enumeration Date | 2023-11-14 |
Last Update Date | 2024-05-14 |