| NPI | 1679699136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 000918) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E33853) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-05-08 |