| NPI | 1760752919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R254597) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MA PSY9484) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2026-01-25 |