| NPI | 1780764183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 131221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 00347-1) |
| 101YP2500X Counselor, Professional (Licence: NY 00347-1) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-02-22 |