| NPI | 1508146507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2304213) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2025-06-25 |