NPI | 1861475014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MD R060028) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MD R060028) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2018-07-31 |