| NPI | 1811226426 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2260842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 084752) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2260842) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2022-09-20 |