| NPI | 1578482964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MA RN2266314) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2266314) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2266314) | |
| Enumeration Date | 2026-07-10 |
| Last Update Date | 2026-08-20 |