| NPI | 1457853400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 763185) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 330759) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2025-06-11 |