| NPI | 1063299295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: VA 0001262042) |
| Additional Taxonomies | 364SL0600X Clinical Nurse Specialist, Long-Term Care (Licence: VA 0001262042) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |