| NPI | 1417539636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MA 277247) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 277247) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 277247) | |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2023-12-29 |