| NPI | 1437709995 |
|---|---|
| Former Name | SELENA NICHOLE FALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95179109) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2020-10-21 |