| NPI | 1386855583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA APRN10005249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 116116) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2025-11-19 |