NPI | 1750470894 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT R36414) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CT APRN001050) |
364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MA RNPC144903) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2007-07-08 |