| NPI | 1629587613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN2298411) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2298411) |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2026-05-29 |