| NPI | 1841558368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NJ 37PC00338300) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NO08239200) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |