NPI | 1972644953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical |
Additional Taxonomies | 103T00000X Psychologist |
163W00000X Registered Nurse | |
163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
Enumeration Date | 2007-02-10 |
Last Update Date | 2007-07-08 |