| NPI | 1174608087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 37pc00059300) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 37pc00059300) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2007-07-08 |