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