| NPI | 1508608746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15141300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14967900) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2025-11-28 |