| NPI | 1366424566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: GA RN052883) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1115) |
| 101YM0800X Counselor, Mental Health (Licence: GA 1115) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA RN052883) | |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: GA RN052883) | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2011-07-20 |