| 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 |