| NPI | 1710105697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 737167) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: MA 223556) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-09-05 |