| NPI | 1568583144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35S100395500) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NJ 35S100395500) |
| 103TH0004X Psychologist, Health (Licence: NJ 35S100395500) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-05-15 |