NPI | 1972906725 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA 61577624) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1624462) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2024-09-19 |