| NPI | 1679690895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WI 2366033) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7167123) |
| 163W00000X Registered Nurse (Licence: WI 48973030) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: WI 2366033) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2009-04-15 |