NPI | 1689213621 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704371853) |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2019-12-21 |
Last Update Date | 2024-02-20 |