| NPI | 1700398419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405217) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 091455) |
| 174400000X Specialist | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2023-09-07 |