| NPI | 1568717668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NJ 37PC00424200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR16260700) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2014-03-27 |