| NPI | 1427168111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 002797) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 002797) |
| 364S00000X Clinical Nurse Specialist (Licence: CT 002797) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |