| NPI | 1669697447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: UT 1894924408) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: UT 1894923902) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2022-07-21 |