| NPI | 1386601029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN90892) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 908092) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA RN90892) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2016-02-23 |