| 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 |