| 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 |