| NPI | 1700379757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: NJ 25MP00503200) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2025-04-09 |