| NPI | 1285612804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 174702) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 174702) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 174702) | |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2025-05-27 |