| NPI | 1730686817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 623106) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 003666) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2019-06-24 |