| NPI | 1871969329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404955) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095645-1) |
| 1041C0700X Social Worker, Clinical (Licence: NY 087700-1) | |
| 163W00000X Registered Nurse (Licence: NY 827298) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2024-09-03 |