| NPI | 1750732129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2369363) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2023-11-21 |