| NPI | 1548914500 |
|---|---|
| Former Name | ELISABETH TEXANNA BALENTINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95073554) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2022-02-08 |