| NPI | 1356573364 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MD PMH063841)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN66369)  | 
| 364S00000X Clinical Nurse Specialist (Licence: MD PMH063841)  | |
| Enumeration Date | 2009-08-10 | 
| Last Update Date | 2009-08-10 |