NPI | 1679586150 |
---|---|
Former Name | YVONNE RAE MCCAULLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MI 4704122157) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MI 4704122157) |
Enumeration Date | 2006-08-14 |
Last Update Date | 2007-07-11 |