| NPI | 1801257746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: MA RN2298593) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: MA 251500000X) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2024-06-24 |