NPI | 1790503381 |
---|---|
Former Name | ERIN HANRAHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: MN 2516171) |
Enumeration Date | 2024-10-01 |
Last Update Date | 2024-10-01 |