| NPI | 1346308202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: IN 28093092A) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2010-07-15 |