| NPI | 1922348713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: VA 0015000768) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VA 0001108010) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |