| NPI | 1083817241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Adolescent (Licence: NJ NC08530100) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2014-12-09 |