NPI | 1801331434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NJ00650000) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: NJ 26NO10574900) |
Enumeration Date | 2017-01-06 |
Last Update Date | 2021-10-20 |