| NPI | 1568515575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ NJS103757) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00375700) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2011-03-01 |