| NPI | 1649655184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2351223) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2023-04-07 |