| NPI | 1801898820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA MH0215031L) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 164463) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-08-22 |