| NPI | 1972722668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NC 131546) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 4902) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2016-03-02 |