| NPI | 1467169144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15442200) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NR27468400) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VT 026.0146203) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2025-10-12 |