| NPI | 1588456099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407549) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 196427) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 931254) | |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-10-28 |