| NPI | 1396803540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400434) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F4004341) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2025-08-06 |