| NPI | 1497946784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NY f4011561) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 417230 1) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY F401156-1) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2009-01-13 |