| NPI | 1861738510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC RN 1003947) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024170445) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R195591) | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MD R195591) | |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |