NPI | 1457593097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: HI APRN 1046) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN 57434) |
Enumeration Date | 2009-03-27 |
Last Update Date | 2019-08-02 |