| NPI | 1083731665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401299) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 4524) |
| 1041C0700X Social Worker, Clinical (Licence: NY 68378) | |
| 163W00000X Registered Nurse (Licence: NY 628862) | |
| 163W00000X Registered Nurse (Licence: CT 088298) | |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2022-07-05 |