| NPI | 1306897913 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000050A)  | 
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IN 700000J0A)  | 
| Enumeration Date | 2006-05-16 | 
| Last Update Date | 2013-08-12 |