| NPI | 1154309128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA RN186440) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: GA RN186440CNS/PMH) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2008-01-24 |