| NPI | 1831310309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01339600) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NJ 37lc00140100) |
| 101YP2500X Counselor, Professional (Licence: NJ 37PC00335700) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NJ 26nr19554800) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-02-08 |