| NPI | 1962418491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: KY 3002520) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-05-08 |