| NPI | 1619006145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: ME R 032287) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2007-07-08 |