| NPI | 1699013573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: FL RN9525425) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 311926) |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2025-12-10 |