| NPI | 1386665776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ SI03384) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ SI03384) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NJ SI03384) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NJ SI03384) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ SI03384) | |
| 103TH0004X Psychologist, Health (Licence: NJ SI03384) | |
| 103TF0200X Psychologist, Forensic (Licence: NJ SI03384) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2014-10-08 |