| NPI | 1376244590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN2358387) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2358387) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2025-10-21 |