| NPI | 1598423667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15446500) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 745959) |
| 163W00000X Registered Nurse (Licence: NJ 26NR12449800) | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2025-11-06 |