| NPI | 1184725285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK NUR U 1335) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2013-01-28 |