| NPI | 1265798045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15331800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 630992) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2025-06-23 |