| NPI | 1811971385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364S00000X Clinical Nurse Specialist (Licence: PA 14503901) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: PA MF000150) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2011-11-15 |