| NPI | 1497005797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2299366) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2024-02-20 |