| NPI | 1518115872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family (Licence: KS 14-35853-092) |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2008-08-28 |