| NPI | 1285890665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ 1-06-3055) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NJ 1-06-3055) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |