| NPI | 1114597556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI CAPRN03829) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2269112) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: RI RN75752) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2269112) | |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-02-16 |