| NPI | 1285773135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME AP101012) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ME 3489) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME RN55694) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-08-03 |