| NPI | 1912006867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA RN283296) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA RN283296) |
| 101YM0800X Counselor, Mental Health (Licence: MA RN283296) | |
| 364S00000X Clinical Nurse Specialist (Licence: MA RN283296) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA RN283296) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-06-24 |