| NPI | 1427583111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402278-1) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 715179) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 129325) | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-03-01 |