| NPI | 1184140519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00807300) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00592100) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00807300) | |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2026-07-22 |