NPI | 1366791337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 691979) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2012-09-05 |
Last Update Date | 2018-03-17 |