| NPI | 1801257746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2298593) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: MA RN2298593) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2025-05-19 |