| NPI | 1487745220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 289016) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 330134) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |