| NPI | 1174962088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00585900) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ R01022887455892) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2018-09-28 |