NPI | 1073949509 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 002708) |
Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: CT 002708) |
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NY 7903263) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 7903263) | |
Enumeration Date | 2013-09-16 |
Last Update Date | 2025-04-30 |