NPI | 1871554196 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2012042577) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MO RN043218) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MO RN043218) | |
Enumeration Date | 2006-03-28 |
Last Update Date | 2013-01-25 |