| NPI | 1982364378 |
|---|---|
| Former Name | ALIVIA ANN HENRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA RN95082402) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |