| NPI | 1962505339 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: HI RX3)  | 
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: HI APRN00069)  | 
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: HI RN44359)  | |
| Enumeration Date | 2006-09-07 | 
| Last Update Date | 2008-05-31 |