| NPI | 1629553243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95062837) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2026-01-06 |