| NPI | 1790217032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: NJ 26NC06772900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN226172L) |
| 163W00000X Registered Nurse (Licence: NJ 26NR06772900) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NC06772900) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-03-30 |