| NPI | 1982243762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 761986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 761986) |
| 163WS0200X Registered Nurse, School (Licence: NY 761986) | |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2025-11-07 |