| NPI | 1760684708 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: MA 181227)  | 
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 181227)  | 
| Enumeration Date | 2007-06-01 | 
| Last Update Date | 2014-06-05 |