NPI | 1689099517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95084823) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2014-03-01 |
Last Update Date | 2016-05-02 |