| NPI | 1710172895 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: DC RN64943) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R130047) | 
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD R130047) | |
| Enumeration Date | 2007-09-11 | 
| Last Update Date | 2007-09-11 |