| NPI | 1144415050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NJ00141100) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2010-11-11 |