NPI | 1639653645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 2023206958) |
Additional Taxonomies | 171W00000X Contractor |
364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: VA 2023206958) | |
3747A0650X Technician, Attendant Care Provider | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2018-09-17 |
Last Update Date | 2024-02-28 |