| NPI | 1366933939 |
|---|---|
| Former Name | VIRGINIA L MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 743265) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2018-05-19 |