| NPI | 1669281077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA 86319) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: MA 86319) |
| Enumeration Date | 2025-01-01 |
| Last Update Date | 2025-01-01 |