NPI | 1922340546 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 235258) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CA 235258) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 235258) | |
Enumeration Date | 2013-03-21 |
Last Update Date | 2013-03-21 |