| NPI | 1144501784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 6004) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-10-16 |