| NPI | 1356890842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NH 283983-03) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0046) |
| 163W00000X Registered Nurse (Licence: NH 817395) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |