| NPI | 1952662033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402580) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 528714) |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2019-07-02 |