| NPI | 1114959012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NM CNS00140) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM CNS00140) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NM CNS00140) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OK 33977) | |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-03-09 |