| NPI | 1518092642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: MN R0794196) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MN 0070) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-03-06 |