| NPI | 1740588417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 636963-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 075890-1) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |