NPI | 1508343484 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NV RN10245) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA MFT15312) |
Enumeration Date | 2018-07-24 |
Last Update Date | 2018-07-24 |