| NPI | 1447539978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402162) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF74013) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2018-09-13 |