NPI | 1538172242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003951) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: VA 0001082678) |
364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: VA 0015000456) | |
Enumeration Date | 2006-08-14 |
Last Update Date | 2007-07-09 |