NPI | 1821412644 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 95034910) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2290914) |
Enumeration Date | 2014-02-13 |
Last Update Date | 2014-09-30 |