| NPI | 1447148671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP251630) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ME RN78942) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH EL33116) | |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-10-15 |