| NPI | 1497308332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35SI00473300) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: NJ 35SI00473300) |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-09-27 |