| NPI | 1497979942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: PA RN201241-L) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: PA RN201241-L) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2013-04-03 |