| NPI | 1588346217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN256679) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: MA RN256679) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2025-04-29 |