| NPI | 1053403865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: NM 54204) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: CO RN130225) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CO RN130225) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2018-11-06 |