| NPI | 1881214377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 726066) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 726066) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 726066) | |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2021-04-07 |