| NPI | 1477638542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00447300) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: NJ 37FI00160800) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2012-10-24 |