NPI | 1760070569 |
---|---|
Former Name | DIANA SCHLARBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IA 095170) |
Enumeration Date | 2021-01-06 |
Last Update Date | 2021-01-06 |