NPI | 1023183860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 0041-306058) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180-002949) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2010-08-12 |