| NPI | 1548628084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 590473-1) |
| Additional Taxonomies | 103TF0000X Psychologist, Family |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |