NPI | 1730385022 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 558165) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2007-06-22 |
Last Update Date | 2024-07-25 |