| NPI | 1841245891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 001983) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 001983) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2012-04-05 |