| NPI | 1356567846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: IN 35001274) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35001274A) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-02-18 |