| NPI | 1477301620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 858463) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 858463) |
| Enumeration Date | 2024-05-10 |
| Last Update Date | 2024-05-10 |