| NPI | 1922411420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: VT 0125692) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: RI CPPNS00106) |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2023-09-28 |