| NPI | 1407276967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F407799-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 910737) |
| 106H00000X Marriage & Family Therapist (Licence: CA 89304) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2025-12-18 |