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 |