| NPI | 1134314404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00488200) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ NC17357) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |