NPI | 1720618614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 674742) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95012703) |
Enumeration Date | 2020-01-20 |
Last Update Date | 2025-02-25 |