| NPI | 1326325945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2264988) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA MK2499867) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN2264988) | |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2023-10-02 |