| NPI | 1538507074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NJ 35SI00600000) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NJ 37PC00475900) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2024-10-15 |