| NPI | 1447241500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: VT 101.0134239) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 070536-23) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2019-02-06 |