| NPI | 1356961247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 403234) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9223) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 633650) | |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2021-04-09 |