NPI | 1932720505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: MA rn2321762) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2321762) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2321762) | |
Enumeration Date | 2020-05-05 |
Last Update Date | 2023-10-02 |