| NPI | 1639536238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 692140) |
| 104100000X Social Worker (Licence: NY 096719) | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2025-09-04 |