| NPI | 1356748545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN03588) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0996359) |
| 104100000X Social Worker (Licence: CT 308) | |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2024-06-05 |