NPI | 1760845267 |
---|---|
Former Name | CASSANDRA FAYE CLAYTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: GA 158697) |
Enumeration Date | 2016-04-01 |
Last Update Date | 2016-04-01 |