| NPI | 1588610430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 5814) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 008012) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CT 107164) | |
| 363L00000X Nurse Practitioner (Licence: CT 5814) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2021-10-01 |