| NPI | 1356371280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 2005) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00064800) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2012-10-30 |