| NPI | 1144375627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: KY 2863S) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: KY 1055914) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 2863S) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2014-06-11 |