| NPI | 1760783443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 306470) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA P302) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |