NPI | 1497180624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401634) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 401634) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2023-11-27 |