NPI | 1659667806 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 695419) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2011-06-27 |
Last Update Date | 2015-12-14 |