| NPI | 1780777813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 055656-23-08) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 141751) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 141751) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2013-04-03 |