| NPI | 1720234792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: NJ 26nj00167300) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2008-08-11 |