| NPI | 1497774970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400721-1) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00041000) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26NJ00041000) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2023-03-07 |