| NPI | 1235515081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00408500) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00408500) |
| 103TS0200X Psychologist, School (Licence: NJ 35SI00408500) | |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2018-08-08 |