| NPI | 1538313218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00456700) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: NJ 562268) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2021-05-05 |