NPI | 1538476163 |
---|---|
Former Name | VIRGINIA E FERENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 077293-23) |
Additional Taxonomies | 103T00000X Psychologist (Licence: NY 019755) |
Enumeration Date | 2010-09-02 |
Last Update Date | 2022-07-01 |