| NPI | 1205131901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: NY 794053) |
| Additional Taxonomies | 172M00000X Mechanotherapist (Licence: NY 021194) |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2024-02-26 |