| NPI | 1992223135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MD 0132540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R069532) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |