| NPI | 1821139536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: PA RN130674L) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: PA PC001995) |
| 163W00000X Registered Nurse (Licence: PA RN130674L) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-09-11 |