| NPI | 1710119383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NJ00218700) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2013-01-24 |