NPI | 1164621165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 56490) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 029649) |
224Z00000X Occupational Therapy Assistant (Licence: NY 006520-1) | |
225X00000X Occupational Therapist (Licence: NY 018744) | |
Enumeration Date | 2007-07-11 |
Last Update Date | 2025-05-06 |