| NPI | 1912006867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: MA RN283296) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: MA RN283296) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MA RN283296) | |
| 101YM0800X Counselor Mental Health (Licence: MA RN283296) | |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: MA RN283296) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-09-06 |