| NPI | 1497774970 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26NJ00041000) | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400721-1) | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00041000) | |
| Enumeration Date | 2006-07-18 | 
| Last Update Date | 2025-09-11 |