| NPI | 1285441170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71016511A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 26NJ15192100) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NJ15192100) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: NJ 26NJ15192100) | |
| Enumeration Date | 2024-12-13 |
| Last Update Date | 2025-04-14 |