NPI | 1083711972 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 85454 PC) |
Additional Taxonomies | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MA 85454 PC) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2008-10-29 |