NPI | 1750648325 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95236121) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2012-04-19 |
Last Update Date | 2021-08-24 |