| NPI | 1346362050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ SIO2055) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ SIO2055) |
| 103TF0000X Psychologist, Family (Licence: NJ SIO2055) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2007-07-08 |