NPI | 1770614745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401321) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 6309491) |
225A00000X Music Therapist | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12.010154) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2351852) | |
Enumeration Date | 2007-03-08 |
Last Update Date | 2022-08-11 |