| NPI | 1730283458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 10876) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CT 003061) |
| 1041C0700X Social Worker Clinical (Licence: NY 096708) | |
| 363LF0000X Nurse Practitioner Family (Licence: NY 338925) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F404052-01) | |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2024-04-08 |