| NPI | 1629172333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: NM CNS0069) |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2013-02-19 |