| NPI | 1720145394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN126215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 126215) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-05-23 |