NPI | 1972139277 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 536331) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 536331) |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CA 536331) | |
Enumeration Date | 2020-03-18 |
Last Update Date | 2020-03-18 |