| NPI | 1982481883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2347317) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MA RN2341317) |
| 163W00000X Registered Nurse (Licence: MA RN2347317) | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |