| NPI | 1528485372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15374100) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00441600) |
| Enumeration Date | 2014-03-18 |
| Last Update Date | 2025-08-12 |