| NPI | 1386977387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IA G-177880) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IA 117880) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041.278848) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2013-11-14 |