| NPI | 1194108498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00535000) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: ABPP # 7521) |
| Enumeration Date | 2015-07-04 |
| Last Update Date | 2015-07-04 |