| NPI | 1003118852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: MA 173255) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2018-11-26 |