| NPI | 1851563274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: NJ 25MP00195100) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NJ 25MP00195100) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2020-10-13 |