| NPI | 1003007477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN206918) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MA 206917) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2019-01-23 |