| NPI | 1275913675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 1373121-1 (88822)) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NY 000222-1) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |