| NPI | 1366870933 |
|---|---|
| Former Name | VIRGINA GLENN CROWDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: SC 37218) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |