| NPI | 1356413231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP022820) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 070716) |
| 1041C0700X Social Worker, Clinical (Licence: NY 72 070716) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA 11111111) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-11-17 |