| NPI | 1124471776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 595342) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 595342) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2025-04-02 |