| NPI | 1427174424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100475200) |
| Additional Taxonomies | 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 35S100475200) |
| 103TH0004X Psychologist Health (Licence: NJ 35S100475200) | |
| 103TA0700X Psychologist Adult Development & Aging (Licence: NJ 35S100475200) | |
| 103TB0200X Psychologist Cognitive & Behavioral (Licence: NJ 35S100475200) | |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2013-10-10 |