NPI | 1205954161 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN101705) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 101705) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2016-09-08 |