| NPI | 1750920799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161033) |
| Additional Taxonomies | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: MI 4704333807) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AK 109346) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: AK 109346) | |
| 103TC0700X Psychologist, Clinical (Licence: AK 109346) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: AK 109346) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704333807) | |
| 364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: MI 4704333807) | |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2020-05-06 |