| NPI | 1619606670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26NJ01302200) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY R048374) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NY F404106-01) | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |