NPI | 1578237558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2334989) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2334989) |
Enumeration Date | 2021-08-04 |
Last Update Date | 2023-05-22 |