| NPI | 1639462815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 651097) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NO10134700) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-05-23 |