| NPI | 1902485386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 083335-21) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA rn2311903) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-10-29 |