| NPI | 1235370891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: AR A004937) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 048) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 148) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 2010005264) | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2018-03-17 |