| NPI | 1194546788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 433624) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: NY 433624) |
| Enumeration Date | 2024-10-17 |
| Last Update Date | 2024-10-17 |