| NPI | 1538355466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NJ 35S100399100) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NJ 35S100399100) |
| 103T00000X Psychologist (Licence: NC 3325) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NJ 35S100399100) | |
| 103TS0200X Psychologist School (Licence: NJ 35S100399100) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: NC 3325) | |
| 103TF0000X Psychologist Family (Licence: NC 3325) | |
| 103TF0000X Psychologist Family (Licence: NJ 35S100399100) | |
| 103TH0100X Psychologist Health Service (Licence: NC 3325) | |
| 103TS0200X Psychologist School (Licence: NC 3325) | |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2024-03-21 |