| NPI | 1447320650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024165236) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: VA 0710101613) |
| 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: VA 0015000664) | |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2014-07-03 |