| NPI | 1538339122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: GA RN124583 CNS/PMH) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2017-03-03 |