| NPI | 1518742931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00516600) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: 35SI00516600) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |