| NPI | 1992860571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2270722) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 111096) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-01-17 |