| NPI | 1417107624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406157) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW016397) |
| 163W00000X Registered Nurse (Licence: PA RN733119) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP031492) | |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2024-12-31 |