| NPI | 1093834731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NY 071976-1R) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: NY 104100000X) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F342707-01) | |
| 163W00000X Registered Nurse (Licence: NY 664571-01) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2023-02-22 |