| NPI | 1003080383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family (Licence: VT 101 0019205) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2010-01-06 |