| NPI | 1972644953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 163W00000X Registered Nurse | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2007-07-08 |