| NPI | 1043594351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404274-01) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080620) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2023-03-22 |