| NPI | 1346836392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407134) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2025-06-29 |