| NPI | 1396446696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN177531) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 033878-23) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2024-10-31 |