NPI | 1780744698 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000056A) |
Additional Taxonomies | 101Y00000X Counselor (Licence: IN 70000056) |
Enumeration Date | 2006-12-11 |
Last Update Date | 2008-07-24 |