| NPI | 1134274442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: AZ LPC0880) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ RN036338) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP060) | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: AZ AP0032) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |