| NPI | 1033548987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 472308-1) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NY 472308-1) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2025-08-15 |