| NPI | 1801428339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: OR 201707711LPN) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |