| NPI | 1790284305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: MA RN127825) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-09 |