| NPI | 1114690641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 344284-1) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 344236-1) |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 344236-1) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 344284-1) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 344236-1) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 344284-1) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 344236-1) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 344284-1) | |
| Enumeration Date | 2021-07-30 |
| Last Update Date | 2021-08-03 |