| NPI | 1972214310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: CT 012868) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 137470) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 012868) | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2024-02-15 |