| NPI | 1205936093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NJ 26NJ00080100) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: NJ 35SIO00563500) |
| 103T00000X Psychologist (Licence: NJ 35SI00263500) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NJ 35SI00263500) | |
| 103TC0700X Psychologist Clinical (Licence: NJ 35SI00263500) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 35SI00263500) | |
| 103TH0100X Psychologist Health Service (Licence: NJ 35SI00263500) | |
| 363LF0000X Nurse Practitioner Family (Licence: NJ 26NJ00080100) | |
| 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family (Licence: NJ 26NJ00080100) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2022-09-26 |