| NPI | 1093703324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NC 0229130-37) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NC 153) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2010-07-01 |