| NPI | 1184690547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 204080) |
| Additional Taxonomies | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: MA 111249) |
| 163WC0400X Registered Nurse Case Management (Licence: MA 111249) | |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: MA 111249) | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MA 111249) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: MA 111249) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |