NPI | 1346593530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2321766) |
Additional Taxonomies | 101YM0800X Counselor Mental Health |
Enumeration Date | 2012-10-25 |
Last Update Date | 2023-08-07 |