| NPI | 1144869710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 682303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 682303-1) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 682303) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 682303) | |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2023-06-15 |