| NPI | 1598235541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2299253) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2299253) |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2021-03-16 |