| NPI | 1225213549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 251316-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A22852) |
| Enumeration Date | 2008-01-05 |
| Last Update Date | 2026-05-26 |