NPI | 1609487461 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95232830) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA 268258) |
Enumeration Date | 2020-08-13 |
Last Update Date | 2023-05-08 |