| NPI | 1760833198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MN 3987) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 3987) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MN CNP 3987) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2023-11-22 |