| NPI | 1780204941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: NJ 26NJ00496100) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26NJ00496100) |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2023-12-29 |