| NPI | 1710020557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN282298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5260) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2023-04-24 |