| NPI | 1235237850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MA 0265894) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 173536) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2015-06-03 |