| NPI | 1861558959 |
|---|---|
| Other Name | SALLY CATHERINE RANDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704254677) |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2007-07-08 |