| NPI | 1740513779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 012111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR15049900) |
| 163W00000X Registered Nurse (Licence: NY 00574487) | |
| 101YM0800X Counselor, Mental Health (Licence: NY 18PO5723) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 574487) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NY 574487) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NY 574487) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 574487) | |
| 163WR0400X Registered Nurse, Rehabilitation (Licence: NY 574487) | |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2022-04-22 |