NPI | 1972644953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 041-176304) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071-004875) |
103T00000X Psychologist (Licence: IL 071-004875) | |
163W00000X Registered Nurse (Licence: IL 041-176304) | |
Enumeration Date | 2007-02-10 |
Last Update Date | 2025-09-11 |