NPI | 1619288446 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WY 27240.1075) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 27240.1075) |
Enumeration Date | 2010-06-26 |
Last Update Date | 2024-10-31 |