NPI | 1679622203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA RN212657L) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA SW005548E) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2025-09-11 |