NPI | 1861476988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: KS 74833) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: KS 14-58645-071) |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: KS 74833) | |
Enumeration Date | 2005-12-01 |
Last Update Date | 2023-03-07 |