| NPI | 1811578875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: TX 1171270) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-08-26 |