| NPI | 1407079379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00451800) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NJ 35SI00451800) |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35SI00451800) | |
| 103TF0000X Psychologist, Family (Licence: NJ 35SI00451800) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2015-12-17 |