| NPI | 1376833467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: MA RN2259657) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2019-09-04 |