NPI | 1730423658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95167659) |
Additional Taxonomies | 101Y00000X Counselor (Licence: CA PT34503) |
Enumeration Date | 2012-11-15 |
Last Update Date | 2020-03-03 |