| NPI | 1093045213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC01299200) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 102L00000X Psychoanalyst | |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2014-12-22 |