| NPI | 1548418379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NJ 26NR02549100) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: VT 098 0000225) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |