| NPI | 1811338528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2365088) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TN 0000179149) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2024-02-07 |