| NPI | 1588828107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 003912) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: CT 081132) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: CT 003912) | |
| 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: CT 003912) | |
| Enumeration Date | 2008-07-13 |
| Last Update Date | 2023-07-12 |