| NPI | 1144764168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NY 297325) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NY 297325) |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: NY 297325) | |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |