| NPI | 1063644672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA RN061785) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN061785) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2010-10-21 |