| NPI | 1487099446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00641500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NJ 37PC00567500) |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2021-12-23 |