| NPI | 1992186779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2363193) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-03-07 |