| NPI | 1528172194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MO 058907) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NC 24) |
| 364S00000X Clinical Nurse Specialist (Licence: MO 058907) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-11 |