| NPI | 1841412517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NY 196658) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NY 000796) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 195568) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-07-23 |