| NPI | 1306435359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 724345) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: NY 320100) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-04-27 |