| NPI | 1841362787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 22223666) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 18001293) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2025-09-11 |