| NPI | 1235454133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 1967-41) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 1967-41) |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2010-04-02 |