| NPI | 1518622299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZE0500X Specialist/Technologist, Other, EEG |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 692040) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 692040) | |
| 171400000X Health & Wellness Coach | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 692040) | |
| 261QP3300X Clinic/Center, Pain | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NY 692040) | |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2022-10-24 |