| NPI | 1942545223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NY 22 236324) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 73074914) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2013-01-10 |