| NPI | 1407117187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NO11305500) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 26NO11305500) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |