NPI | 1326048596 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: PA RN-L266694) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: PA RN-L266694) | |
Enumeration Date | 2005-07-28 |
Last Update Date | 2012-03-19 |