| NPI | 1629330238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NR11590200) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NJ00378400) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 830556) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 22699) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 258236) | |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2023-01-19 |