| NPI | 1003216086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00591100) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: NJ 37PC00358900) |
| 103T00000X Psychologist (Licence: NJ 5911) | |
| 103TC1900X Psychologist Counseling (Licence: NJ 5911) | |
| 103TC1900X Psychologist Counseling (Licence: NJ 9511) | |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2021-04-27 |