| NPI | 1942488002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: UT 6281972-4405) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: UT 6281972-4405) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2023-09-13 |