| NPI | 1487625083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MA RN166154) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: RI RNCNS21791) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: RI RN21791) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: RI PPNS0040) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2018-06-26 |