| NPI | 1114120326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA 0365002-01 ANCC Cert) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: PA RN283415L) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-08-01 |