NPI | 1952631764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201702656RN) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 201702656RN) |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 201702656RN) | |
Enumeration Date | 2009-12-30 |
Last Update Date | 2018-03-17 |