NPI | 1619419512 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 759622) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 759622) |
Enumeration Date | 2016-11-08 |
Last Update Date | 2021-04-01 |