| NPI | 1407990815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WI 796-033) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 613-125) |
| 1041C0700X Social Worker, Clinical (Licence: WI 3678-123) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 52325-030) | |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2011-10-15 |