| NPI | 1225232036 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist Psychiatric/Mental Health, Adult (Licence: MA 131827) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MA RN131827) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN131827) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2022-04-29 |