| NPI | 1952293748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407244) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 14890) |
| 163WS0200X Registered Nurse, School (Licence: NY 699581) | |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-10-03 |