| NPI | 1093722340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NY 067699-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 447065-1) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-07-08 |