NPI | 1518558832 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95312991) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 684435) |
Enumeration Date | 2021-01-29 |
Last Update Date | 2024-04-17 |