| NPI | 1720044712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: TX 579730) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA RN112506 AP04739) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2016-02-04 |