| NPI | 1720090202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: TN APN0000010736) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: GA RO96375) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2018-05-16 |