| NPI | 1457465064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MA 122211) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 122211) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 122211) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |