| NPI | 1073844890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00564700) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: PR 3613) |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2024-05-20 |