| NPI | 1871365643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONIA JASMINE BONSU Owner 718-557-9521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2024-10-29 |