| NPI | 1366559189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400955-1) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 453601) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2010-12-13 |