NPI | 1710150735 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 266-053) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 032344-21) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 266053) | |
Enumeration Date | 2008-04-10 |
Last Update Date | 2022-12-01 |