| NPI | 1720608110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MN 7498) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND R41371) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 2258753) | |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2024-05-17 |