| NPI | 1285044420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 084058-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 084058-21) |
| 163W00000X Registered Nurse (Licence: MA RN2291601) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA RN2291601) | |
| 310400000X Assisted Living Facility | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities | |
| 373H00000X Day Training/Habilitation Specialist (Licence: MA RN2291601) | |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2025-07-08 |