NPI | 1750417739 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA RN160783) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2007-02-26 |
Last Update Date | 2010-02-05 |