| NPI | 1821891474 |
|---|---|
| Former Name | DEBORAH RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: UT 12035998-3102) |
| Enumeration Date | 2025-03-29 |
| Last Update Date | 2025-03-29 |