| NPI | 1750052734 |
|---|---|
| Former Name | KATHY MARIE SWEET |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 671718-01) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2021-09-21 |