| NPI | 1326079088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 013880) |
| Additional Taxonomies | 103TA0700X Psychologist, Adult Development & Aging (Licence: NJ 35SI100429700) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2021-07-21 |