| NPI | 1013674084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 905067) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MS 906822) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01317700) | |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2023-09-26 |