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 |