| NPI | 1245293711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: KY 3012324) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 099006130N6) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2019-06-06 |