NPI | 1942648142 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201340536RN) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-06-10 |
Last Update Date | 2015-09-01 |