| NPI | 1700416708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 863011-01) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-01-19 |
| Last Update Date | 2022-11-28 |