| NPI | 1013229822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NC04275400) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NJ 26NC04275400) |
| 163W00000X Registered Nurse (Licence: PA RN350687L) | |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2016-11-08 |