NPI | 1477149847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AR 125196) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: AR 125196) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: AR 125196) | |
Enumeration Date | 2020-12-18 |
Last Update Date | 2020-12-18 |