| NPI | 1497959811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 003973) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 81733) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CT 81733) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CT 81733) | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CT 81733) | |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: CT 2008008396) | |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2017-04-12 |