| NPI | 1841903515 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01414200)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95032130)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406339)  | |
| Enumeration Date | 2022-12-27 | 
| Last Update Date | 2025-09-03 |