| NPI | 1588172662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15291400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X Community/Behavioral Health | |
| 253Z00000X In Home Supportive Care (Licence: NJ 26NR108476800) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404606) | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2025-04-22 |