| NPI | 1104223254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NR08486500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SW01073100) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 269645-1) | |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |