| NPI | 1538147574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35S100367000) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC00537400) |
| 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00367000) | |
| 104100000X Social Worker (Licence: NJ 44SC00537400) | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2007-07-08 |