| NPI | 1891419461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MA 2302161) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2302161) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 2302161) | |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2023-02-22 |