| NPI | 1033252556 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 2641) | 
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 2641) | 
| 103T00000X Psychologist (Licence: NJ 2641) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 2641) | |
| Enumeration Date | 2007-02-14 | 
| Last Update Date | 2025-09-11 |