| NPI | 1376818054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: NY 7277889) |
| Additional Taxonomies | 163WS0200X Registered Nurse School (Licence: NY 7277889) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2024-07-26 |