| NPI | 1033977004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2313592) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA RN2313592) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2313592) | |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-08-07 |