| NPI | 1003929373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F400291) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NY F400291) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2021-05-24 |