| NPI | 1386794006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401287-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY R0384571) |
| 163W00000X Registered Nurse (Licence: NY 3897821) | |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2024-10-24 |