| NPI | 1083585251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN277419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN52655) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-10-10 |