| NPI | 1699337592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family (Licence: NJ 26NJ00925000) |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2021-02-15 |