| NPI | 1922254358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F400305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 383131-1) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NY F400305) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2022-07-21 |