| NPI | 1982117370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402337-1) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NY 652453-1) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NR15178900) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00771400) | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2018-01-31 |