| NPI | 1508892456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 191170) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 900065) |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MA 191170) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2020-04-23 |