| 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 |