NPI | 1407002207 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 811867) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN067802) |
Enumeration Date | 2008-08-12 |
Last Update Date | 2019-01-09 |