| NPI | 1932769692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN2389328) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2025-03-03 |