| NPI | 1962770776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: ID N-32314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-32314) |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2012-01-05 |