| NPI | 1124189436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IA 001150) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00430100) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-07-28 |