| NPI | 1720797145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NJ15132300) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY F404386) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ15132300) | |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2025-05-06 |