| NPI | 1871052472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IA G159688) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 127714) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G159688) | |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2022-06-01 |