| NPI | 1417911256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400539-1) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY F400539) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 397795) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2023-07-06 |