| NPI | 1104196492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 570309) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 241022-1) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-04-06 |