| NPI | 1164665253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA 001186) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 001831) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |