| NPI | 1447353073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ NR68453) |
| 103T00000X Psychologist (Licence: NJ S103433) | |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2019-05-31 |