| NPI | 1356748636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA 300926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC05599500) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2024-12-12 |