| NPI | 1609921089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: VA 0001062517) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC RN37545) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-01-13 |