| NPI | 1700269842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ00583700) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL05187500) |
| 163W00000X Registered Nurse (Licence: NJ 26NR13943500) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00583700) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2025-05-22 |