| NPI | 1780363200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405554) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12007) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15086700) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA APRN10000642) | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2025-09-18 |