| NPI | 1689810111 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: GA RN052983) | 
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: GA RN052983) | 
| Enumeration Date | 2009-01-06 | 
| Last Update Date | 2017-03-08 |