| NPI | 1326372145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VT 1010128236) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: VT 0680057753) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA 2014011908) | |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2022-07-21 |