| NPI | 1801459193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family (Licence: MD R210953) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MD R210953) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2021-07-01 |