| NPI | 1376618421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MN 035189102) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1462896) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 035189102) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2012-08-10 |