| NPI | 1114119518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: GA RN185785 CNS/PMH) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |