NPI | 1821090812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC 928) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: SC 208685) |
163W00000X Registered Nurse (Licence: SC 41,401) | |
Enumeration Date | 2005-08-10 |
Last Update Date | 2007-07-08 |