| NPI | 1992455117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NY 404056) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404056) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R195623) | |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-12-22 |