| NPI | 1639516586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA CNS000309) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: FL RN9301357) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL RN9301357) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: PA CNS000309) | |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2021-05-30 |