| NPI | 1205097433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00631000) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: NJ T-4542) | |
| 103TS0200X Psychologist, School (Licence: NJ 939778) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2021-05-24 |