| NPI | 1841361573 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 123984) |
| Additional Taxonomies | 251S00000X (Licence: MA 123984) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2023-03-07 |