| NPI | 1629081872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: LA RN038372-AP01083) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: LA 861) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: LA RN038372-AP01083) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2015-03-23 |