NPI | 1467299875 |
---|---|
Former Name | JACQUELINE MARIE WILLIAMSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95370478) |
Enumeration Date | 2024-07-12 |
Last Update Date | 2024-07-12 |