| NPI | 1962626093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ID CNS-12) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: ID CNS-12) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-08-26 |