| NPI | 1154333102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA RN299471L) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: PA 3148) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA VP006719B) | |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2022-07-21 |