| NPI | 1386232544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404795) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11601) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CT 122006) | |
| Enumeration Date | 2021-01-04 |
| Last Update Date | 2024-03-26 |