| NPI | 1184709412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00401400) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35S100401400) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00401400) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-05-03 |