| NPI | 1881981330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F337369-1) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 458367-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404946) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2024-04-23 |