| NPI | 1659995926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 086457-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 10.127023) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NH 086457-21) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN2347546) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA PEND) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2347546) | |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-03-20 |