| NPI | 1063844967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: SC 18242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18242) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2023-05-30 |