| NPI | 1346313616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: ND R20158) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 6985) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN R 124683-4) | |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2019-08-08 |