NPI | 1962621433 |
---|---|
Other Name | MARY ELLEN CANCELLIERI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 163573) |
Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA 163573) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 163573) | |
Enumeration Date | 2007-04-24 |
Last Update Date | 2018-02-09 |