| NPI | 1265586168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400392-1) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY f400392-1) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NY F400392-1) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2025-07-18 |