| NPI | 1437134293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: FL APRN9363537) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WI 1400-033) |
| 364SP0813X Clinical Nurse Specialist, Psych/Mental Health, Geropsychiatric (Licence: WI 1400-033) | |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-06-17 |