NPI | 1356884472 |
---|---|
Former Name | SANDRA MICHON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 369613) |
Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: CA 369613) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2018-03-17 |