| NPI | 1245872035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 6038) |
| Additional Taxonomies | 103TF0200X Psychologist Forensic |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2020-01-02 |